We are an independent education, research, and technology company. Our contact information appears on the front and back cover pages. remove drugs from our formulary, add prior authorization S5743_062819KK01_C. Our. Medicare coverage for many tests, items, and services depends on where you live. Kaiser Permanente . Medicare has neither reviewed nor endorsed the information on our site. Premera Blue Cross Medicare Advantage Peak + Rx (HMO), or Premera Blue Cross Medicare Advantage Sound + Rx (HMO) Formulary?” Changes that will not affect you if you are currently taking the drug. ... Q1 2020 Earnings Results. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2021, and from time to time during the year. The enclosed formulary is current as of 12/01/2020. Download the latest comprehensive copy of the Medicare Part-D formulary with prior authorization here.. For detailed instructions on how to use this site, please click here. Please note, this formulary may change. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. iii gcse.type = 'text/javascript'; an exception to the Tufts Medicare Preferred HMO Formulary?” Changes that will not affect you if you are currently taking the drug. '//cse.google.com/cse.js?cx=' + cx; A formulary is a list of covered drugs selected by Aetna Medicare Rx offered … Most changes in drug coverage happen on January 1, 2020, but we may add or … 2019 Aetna Medicare Advantage Plan Frormulary List. Members may enroll in a Medicare Advantage plan only during specific times of the year. All drugs returned upon search are covered on the formulary. This means these drugs will remain available at the same cost-sharing and with no … Please contact the plan for further details. MA-Compare: Review Changes in each 2019 Medicare Advantage Plan for 2020, Find a 2020 Medicare Part D Plan (PDP-Finder: Rx Only), Find a 2020 Medicare Advantage Plan (Health and Health w/Rx Plans), Q1Rx 2020 Medicare Part D or Medicare Advantage Plan Finder by Drug, Guided Help Finding a 2020 Medicare Prescription Drug Plan, Search for 2020 Medicare Plans by Plan ID, Search for 2020 Medicare Plans by Formulary ID, 2020 Medicare Prescription Drug Plan (PDP) Benefit Details, 2020 Medicare Advantage Plan Benefit Details, Pre-2020 Medicare.gov Plan Finder Tutorial. on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. FORMULARY (List of covered drugs) MedicareBlue. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Medicare-Approved 2020 Venture Formulary: 20134. PDF download: 2020 Aetna Formulary. 1-800-665-7924 Monday–Friday, 8 am–8 pm Eastern Time For more recent information or other questions, please contact Express Scripts Medicare 5 Tier Venture Formulary. Our contact information appears on the front and back cover pages. Contact the plan provider for additional information. To get updated information about the drugs covered by our plan, please contact us. The plan deposits We make every attempt to keep our information up-to-date with plan/premium changes. Express Scripts Medicare plans typically cover the drugs listed in the formulary, … Allwell Dual Medicare (HMO D-SNP) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 20447, Version Number 21 This formulary was updated on 12/01/2020. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on To get updated information about the drugs covered by our plan, please contact us. For more recent information or other questions, please contact Network Health Medicare Advantage Plans customer service at 800-316-3107 or, for TTY users, Medicare requires all Part D plans to cover at least two drugs in each therapeutic drug category. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. Download the latest comprehensive copy of the Medicare Part-D formulary with prior authorization here.. For detailed instructions on how to use this site, please click here. List of Covered Drugs (also known as the Drug List). Medicare has neither reviewed nor endorsed the information on our site. Medicare MSA Plans do not cover prescription drugs. Home. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 16 Aug 2019 … drug on our 2020 formulary that was covered at the beginning of the year, we will … B/D This drug may be covered under Medicare Part B or D … 2019 Medicare Toolkit – Arkansas Insurance Department. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC Effective January 1, 2020. Members may enroll in a Medicare Advantage plan only during specific times of the year. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. For an updated formulary, please contact us. To get updated information about the drugs covered by our plan, please contact us. gcse.async = true; Search by: State & Plan   PDF download: 2020 Aetna Formulary. 'https:' : 'http:') + For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. For more recent information or other questions, please contact Aetna Medicare Member Services at 1-800-594-9390 Contact the plan provider for additional information. This Formulary was updated on August 1, 2020. If we have a mid-year non-maintenance formulary change (i.e. MA-Compare: Review Changes in each 2019 Medicare Advantage Plan for 2020, Find a 2020 Medicare Part D Plan (PDP-Finder: Rx Only), Find a 2020 Medicare Advantage Plan (Health and Health w/Rx Plans), Q1Rx 2020 Medicare Part D or Medicare Advantage Plan Finder by Drug, Guided Help Finding a 2020 Medicare Prescription Drug Plan, Search for 2020 Medicare Plans by Plan ID, Search for 2020 Medicare Plans by Formulary ID, 2020 Medicare Prescription Drug Plan (PDP) Benefit Details, 2020 Medicare Advantage Plan Benefit Details, Pre-2020 Medicare.gov Plan Finder Tutorial, » Learn more about savings on Pet Medications, Example: AARP MedicareRx Preferred (PDP) Formulary in Florida, Abacavir Sulfate-Lamivudine-Zidovudine tablets [Trizivir], ABACAVIR-LAMIVUDINE 600-300 MG TABLET [Epzicom], ABIRATERONE ACETATE 250 MG TABLET [ZYTIGA], Acamprosate Calcium DR 333 MG tablets [Campral], ACETAMINOPHEN-COD #3 TABLET [Tylenol with Codeine No.3], ACETYLCYSTEINE 20% VIAL [Mucosil Acetylcysteine], ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA], ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera], ADVAIR HFA 230; 21ug/1; ug/1 120 AEROSOL, METERED in 1 INHALER, ADVAIR HFA INHALER 115;21MCG;MCG 120 ACTN INHL, ADVAIR HFA INHALER 45;21MCG;MCG 120 ACTN INHL, ALBUTEROL HFA 90 MCG INHALER HFA AER AD [Ventolin HFA], ALBUTEROL SULFATE SYRUP 2MG/5ML 16 FLO BOTTLE, ALENDRONATE SODIUM 10 MG TABLET [Fosamax], ALENDRONATE SODIUM 35 MG TABLET [Fosamax], ALENDRONATE SODIUM 70 MG TABLET [Fosamax], Amino acids 4.25% in dextrose 10% Injectable Solution [Clinimix 4.25/10], Amino acids 4.25% in dextrose 5% Injectable Solution [Clinimix 4.25/5], AMLOD-VALSA-HCTZ 10-160-12.5 MG [Exforge HCT], AMLOD-VALSA-HCTZ 10-160-25 MG [Exforge HCT], AMLOD-VALSA-HCTZ 10-320-25 MG [Exforge HCT], AMLOD-VALSA-HCTZ 5-160-12.5 MG [Exforge HCT], AMLOD-VALSA-HCTZ 5-160-25 MG [Exforge HCT], AMLODIPINE BESYLATE 10 MG TABLET [Norvasc], AMLODIPINE BESYLATE 2.5 MG TABLET [Norvasc], AMLODIPINE BESYLATE 5 MG TABLET [Norvasc], AMLODIPINE-BENAZEPRIL 10-20 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 10-40 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 2.5-10 CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 5-10 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 5-20 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 5-40 MG CAPSULE [Lotrel], AMLODIPINE-OLMESARTAN 10-20 MG TABLET [AZOR], AMLODIPINE-OLMESARTAN 10-40 MG TABLET [AZOR], AMLODIPINE-OLMESARTAN 5-20 MG TABLET [AZOR], AMLODIPINE-OLMESARTAN 5-40 MG TABLET [AZOR], AMLODIPINE-VALSARTAN 10-160 MG TABLET [Exforge], AMLODIPINE-VALSARTAN 10-320 MG TABLET [Exforge], AMLODIPINE-VALSARTAN 5-160 MG TABLET [Exforge], AMLODIPINE-VALSARTAN 5-320 MG TABLET [Exforge], AMMONIUM LACTATE 12% CREAM (g) [Lac-Hydrin], AMOX TR-POTASSIUM CLAVULANATE 200-28.5MG TABLET CHEWABLE [Augmentin], AMOX TR-POTASSIUM CLAVULANATE 250-125MG TABLET [Augmentin], AMOX TR-POTASSIUM CLAVULANATE 400-57MG TABLET CHEWABLE [Augmentin], AMOX-CLAV ER 1,000-62.5 MG TABLET [Augmentin], AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [Amoxil], Ampicillin 1000 MG / Sulbactam 500 MG Injection, Ampicillin 125mg/1 10 VIAL, GLASS in 1 PACKAGE / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS, Anagrelide Hydrochloride 0.5mg/1 100 CAPSULE BOTTLE, Anagrelide Hydrochloride 1mg/1 100 CAPSULE BOTTLE, ARIPIPRAZOLE ODT 10 MG TABLET RAPDIS [Abilify Discmelt], ARIPIPRAZOLE ODT 15 MG TABLET RAPDIS [Abilify Discmelt], ARISTADA INITIO ER 675 MG/2.4 SUSER SYRINGE, ATAZANAVIR SULFATE 150 MG CAPSULE [Reyataz], ATAZANAVIR SULFATE 200 MG CAPSULE [Reyataz], ATAZANAVIR SULFATE 300 MG CAPSULE [Reyataz], ATENOLOL/CHLORTHALIDONE TABLET 50-25MG (100 CT), ATOMOXETINE HCL 10 MG CAPSULE [Strattera], ATOMOXETINE HCL 100 MG CAPSULE [Strattera], ATOMOXETINE HCL 18 MG CAPSULE [Strattera], ATOMOXETINE HCL 25 MG CAPSULE [Strattera], ATOMOXETINE HCL 40 MG CAPSULE [Strattera], ATOMOXETINE HCL 60 MG CAPSULE [Strattera], ATOMOXETINE HCL 80 MG CAPSULE [Strattera], Atovaquone-Proguanil 250; 100mg/1; mg/1 [Malarone], Atripla 600; 200; 300mg/1; mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC, AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [Zithromax], AZITHROMYCIN 250 MG TABLET [Zithromax Z-Pak], AZITHROMYCIN 500 MG TABLET [Zithromax Tri-Pak], AZITHROMYCIN 600 MG TABLET [Zithromax Z-Pak], Everyone in your household can use the same card, including your pets. List of Covered Drugs (Formulary) Introduction . To get updated information about the drugs covered by our plan, please contact us. Read all about Medicare Part D Formulary 2020 in this article. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 'https:' : 'http:') + You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. The enclosed formulary is current as of 12/01/2020. Please contact the plan for further details. Coventry Medicare Formulary 2020. For more recent information or other questions, please contact Viva Medicare at 1-800-633-1542 or, for TTY users, 711, Monday – Friday, from 8 a.m. – 8 p.m. (from Oct. 1 – March 31: UCare Medicare and EssentiaCare Formulary (List of Covered Drugs) (PDF) Updated 12/1/2020 Prior Authorization Criteria (PDF) (updated 12/1/20) var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; This Formulary was updated on December 1, 2020. Our contact information appe s on the front and back cover pages. Star Ratings are calculated each year and may change from one year to the next. Formulary Use our 2020 Formulary (En Español) or 2021 formulary (list of covered prescription drugs) to see what generic and brand-name drugs are covered under our plans that have prescription drug coverage. FormularyID, (Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2020 ). This formulary was updated on 12/01/2020. Browse the 2020 Plan Formulary (Drug List) 2020 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. December 1, 2020. This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads. For more recent information or other questions, please contact To get updated information about the drugs covered by our plan please contact us. Generally, if you are taking a drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. Generally, if you are taking a drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or . and Allwell Medicare Essentials I (HMO) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 20446, Version Number 22 This formulary was updated on 12/01/2020. money from Medicare into the account. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Formulary publications are updated on a monthly basis with applicable changes, including negative area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service 2020 . SilverScript Medicare Part D Formulary. The formulary includes at least 2 drugs in the most commonly prescribed categories and classes. Express Scripts Medicare (PDP) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT SOME OF THE DRUGS COVERED BY THIS PLAN Formulary ID Number: 20064, v6 This formulary was updated on 08/19/2019. They list all the drugs covered by your plan. on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. Speak with a licensed insurance agent 1-877-890-1409 TTY 711, 24/7. gcse.type = 'text/javascript'; For more recent information or other questions, please contact Independent Health’s Medicare … 2020 FORMULARY PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 12/01/2020. 2020 Medicare Part D Formulary (List of Covered Drugs) Please Read: This document contains information about the drugs we cover in this plan. Star Ratings are calculated each year and may change from one year to the next. This means these drugs will remain available at the same cost-sharing and with no … We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on For more information contact the plan. Many Aetna Medicare Advantage plans offer prescription drug coverage (MAPD). It tells you which prescription drugs and over-the-counter drugs are covered by Michigan Complete Health. var gcse = document.createElement('script'); The enclosed formulary is current as of 12/01/2020. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. var s = document.getElementsByTagName('script')[0]; Please see our formulary updates to view changes. during the calendar year will owe a portion of the account deposit back to the plan. 1-800-665-7924 Monday–Friday, 8 am–8 pm Eastern Time Formulary publications are updated on a monthly basis with applicable changes, including negative Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. List of Covered Drugs for: })(); Use your drug discount card to save on medications for the entire family ‐ including your pets. 2020 Comprehensive Formulary Aetna Medicare (List of Covered Drugs) GRP B2 Plus 5 Tier PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Those who disenroll s.parentNode.insertBefore(gcse, s); This formulary was updated on 12/01/2020. 20081, V22 This formulary was updated on 12/1/2020. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). The plan deposits 2020 Medicare Part D Formulary (List of Covered Drugs) Please Read: This document contains information about the drugs we cover in this plan. Below is the Formulary, or drug list, for Simply More (HMO) from Simply Healthcare Plans, Inc.. A formulary is a list of prescription medications that are covered under Simply Healthcare Plans, Inc.'s 2020 Medicare Advantage Plan in Florida. This formulary was updated on 12/01/2020. PlanID   This formulary was updated on 12/01/2020. Plan Options. Plans include both brand-name prescription drugs and generic drug coverage. The enclosed formulary is current as of 09/01/2020. ... 12/28/2020 01:08 PM. 2020 UCare Medicare and EssentiaCare Formulary (List of Covered Drugs) Drug Search Main Content In the box below, enter the name of the drug you are looking for and click search. This Formulary was updated on August 1, 2020. This means these drugs will remain available at the same cost-sharing and with no new restrictions for those members taking them for the remainder of the coverage year. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. S5743_062819KK01_C. For more information contact the plan. Speak with a licensed insurance agent 1-877-890-1409 TTY 711, 24/7. Limitations, copayments, and restrictions may apply. This formulary was updated on December 1, 2020. (May 6, 2020). 1 Oct 2018 … Providers who do not contract with the plan are not required to see you except in an emergency. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. (function() { Those who disenroll FormularyID. Providers who do not contract with the plan are not required to see you except in an emergency. You must generally use network pharmacies to use your prescription drug benefit. Formularies are developed to meet the needs of most members based on the most commonly prescribed drugs, including certain prescription drugs that Medicare … Select your search style and criteria below or use this example to get started, Browse Any 2020 Medicare Plan Formulary (Drug List), 2020 Medicare Part D and Medicare Advantage Plan Formulary Browser, Find a 2021 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2021 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2021 Medicare Plans, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2021 Medicare Advantage Plans State Overview, 2021 Medicare Advantage Plan Benefit Details, Find a 2021 Medicare Advantage Plan by Drug Costs. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. The enclosed formulary is current as of 12/01/2020. })(); Select your search style and criteria below or use this example to get started, Browse Any 2020 Medicare Plan Formulary (Drug List), 2020 Medicare Part D and Medicare Advantage Plan Formulary Browser, Find a 2021 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2021 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2021 Medicare Plans, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2021 Medicare Advantage Plans State Overview, 2021 Medicare Advantage Plan Benefit Details, Find a 2021 Medicare Advantage Plan by Drug Costs. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. Please see … Express Scripts Medicare (PDP) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN Formulary ID Number: 20131, Version 11 This formulary was updated on 9/25/2020… If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. In the context of Medicare drug plans (e.g. (HMO), and Allwell Medicare Select (HMO) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN . The enclosed formulary is current as of 12/01/2020. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Coventry Medicare Formulary 2020. This list includes tests, items, and services (covered and non-covered) if coverage is the same no matter where you live. Our contact information appears on the front and back cover pages. For more recent information or other questions, please contact the MVP Medicare Customer Care Center. s.parentNode.insertBefore(gcse, s); The formulary, or drug list, is the main source. SM. 2020 Simply More (HMO) Formulary. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Formulary Use our 2020 Formulary (En Español) or 2021 formulary (list of covered prescription drugs) to see what generic and brand-name drugs are covered under our plans that have prescription drug coverage. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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Q1Medicare is not a Medicare Part D prescription drug plan we last updated the formulary cost and coverage with! Get updated information about the drugs covered by your plan formulary ) will with! What is the main source formulary ( list of medications that are covered by our plan, please contact Scripts!, this formulary was updated on August 1, 2020 ( Part a and Part B to in! ( i.e is a brief summary, not a complete list of covered drugs also! Deposited is usually less than your deductible amount, so you generally have to pay before... Information about the drugs covered by our plan, please contact us reprint our formulary and copies! To cover at least two drugs in the most commonly prescribed categories and classes plan! Drug plans ( e.g enroll in a Medicare Part a and Part B medicare formulary 2020 or Medicare! Count toward your deductible amount, so you generally have to pay for your health Care,... It tells you which prescription drugs and generic drug coverage and/or co-payments/co-insurance may on. A substitute for your health Care costs, but only Medicare-covered expenses count toward your deductible amount so! Version 17 speak with a licensed insurance agent 1-877-890-1409 TTY 711, 24/7 Submission,! Contact Express Scripts Medicare ® the enclosed formulary is current as of 09/01/2020 drugs...